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General NPI Number Information
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NPI Number | 1396443297
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Entity Type | Individual
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Provider Name | CALLEY CASEY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 6700 N ROCHESTER RD STE GL-01
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City | ROCHESTER HILLS
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State | MI
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Zip | 48306-4378
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Country | US
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Telephone | 248-650-1515
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Fax | 248-650-1514
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Provider Business Mailing Address
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Address Line | 6700 N ROCHESTER RD STE GL-01
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City | ROCHESTER HILLS
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State | MI
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Zip | 48306-4378
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Country | US
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Telephone | 248-650-1515
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Fax | 248-650-1514
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501302423
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License Number State | MI
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